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Tinea capitis

Tinea capitis

Q. 1

An eleven year old boy is having Tinea capitis on his scalp. Which of the following is the most appropriate line of treatment of this condition?

 A

Shaving of the scalp

 B

Oral griseofulvin therapy

 C

Topical griseofulvin therapy

 D

Selenium sulphide shampoo

Q. 1

An eleven year old boy is having Tinea capitis on his scalp. Which of the following is the most appropriate line of treatment of this condition?

 A

Shaving of the scalp

 B

Oral griseofulvin therapy

 C

Topical griseofulvin therapy

 D

Selenium sulphide shampoo

Ans. B

Explanation:

Tinea capitis is the infection of skin of scalp and hair by fungi.

Microsporium and Trichophyton tonsurans are the most common causative organisms.

Oral Griseofulvin is the drug of choice for Tinea capitis.

Other oral drugs which are useful includes ketoconazole, itraconazole and tebinafine.

Ref: Oski’s Essential Pediatrics By Michael Crocetti, 2nd Edition


Q. 2

Which of the following causes scarring type of alopecia?

 A

Androgenic alopecia

 B

Alopecia Areata

 C

Tinea capitis causing alopecia

 D

Traction alopecia

Q. 2

Which of the following causes scarring type of alopecia?

 A

Androgenic alopecia

 B

Alopecia Areata

 C

Tinea capitis causing alopecia

 D

Traction alopecia

Ans. C

Explanation:

Causes of scarring alopecia:
  • Tinea capitis infection and kerion
  • Staphylococcal folliculitis
  • Syphilis
  • Herpes simplex and zoster
  • Lupus vulgaris
  • Lichen planus
  • Lupus erythematosus
  • Sarcoid
  • Scleroderma
  • Basal cell carcinoma
Non scarring alopecia occur in:
  • Androgenic type
  • Telogen effluvium
  • Alopecia areata
  • Trichotillomania
Ref: Medicine at a Glance  edited by Patrick Dave

Q. 3

Most common organism causing tinea capitis in India is:

 A

Microsporum

 B

Trichophyton tonsurans

 C

Epidermophyton

 D

Trichophyton violaceum

Q. 3

Most common organism causing tinea capitis in India is:

 A

Microsporum

 B

Trichophyton tonsurans

 C

Epidermophyton

 D

Trichophyton violaceum

Ans. D

Explanation:

The most common organisms causing Tinea capitis in the United States are Trichophyton tonsurans.

T. Violaceum is the commonest cause od Tinea Capitis in India.

Ref: Pediatric Primary Care: Child Care, By Raymond C. Baker, Pages 30-31; Clinical Pediatric Dermatology, By Thappa – Elsevier India 2009.


Q. 4

All are true statements regarding favus, EXCEPT:

 A

It is a form of Tinea capitis

 B

It is caused by Tinea schoenlein

 C

It causes cicatricial alopecia

 D

It is characterised by presence of dark brown to black nodules cemented to the hair shaft

Q. 4

All are true statements regarding favus, EXCEPT:

 A

It is a form of Tinea capitis

 B

It is caused by Tinea schoenlein

 C

It causes cicatricial alopecia

 D

It is characterised by presence of dark brown to black nodules cemented to the hair shaft

Ans. D

Explanation:

It is characterised by yellowish cup shaped crests called scutula.

Dark brown/black nodules are seen as black piedra caused by piedraia hortae.

Ref: Rook’s Textbook of Dermatology, 8th Edition

Q. 5

Most common cause of tinea capitis –

 A

M. conis

 B

Epidermophyton floccosum

 C

T. Tonsurans

 D

M. distortum

Q. 5

Most common cause of tinea capitis –

 A

M. conis

 B

Epidermophyton floccosum

 C

T. Tonsurans

 D

M. distortum

Ans. C

Explanation:

Ans. is ‘c’ i.e., T. Tonsurans

Tinea capitis

.  Dermatophytosis of scalp and hair.

.  Caused by trichophyton or microsporum.

.   M.C. by T. tonsurans.

.   Zoophilic species (T. mentagrophytes and T. verrucosum) may induce a severe combined inflammatory and hypersensitivity reaction called a kerion.

.   Another manifestation of tinea capitis isfavus an acute inflammatory infection of hair follicle caused by T.schoenleinii, which leads to formation of scutula (cursts) around the follicle.


Q. 6

Tinea Capitis is caused by all except –

 A

Epidermophyton

 B

Microsporum

 C

T. Violaceum

 D

T. Schoenleinii

Q. 6

Tinea Capitis is caused by all except –

 A

Epidermophyton

 B

Microsporum

 C

T. Violaceum

 D

T. Schoenleinii

Ans. A

Explanation:

Ans. is ‘a’ i.e., Epidermophyton

.  Tinea capitis is caused by Microsporum (any species) and Trichophyton (most species).


Q. 7

Which does not cause Tinea Capitis

 A

Epidermophyton

 B

Microsporum

 C

Trichophyton Rubrum

 D

Trichophyton Violaceum/Schoenleinii

Q. 7

Which does not cause Tinea Capitis

 A

Epidermophyton

 B

Microsporum

 C

Trichophyton Rubrum

 D

Trichophyton Violaceum/Schoenleinii

Ans. A

Explanation:

A i.e. Epidermophyton


Q. 8

An 8 yr old boy presents with boggy swelling and easily pluckable hair, Diagnosis is

 A

Tinea capitis

 B

Alopecia areata

 C

Tuberculorid leprosy

 D

Pityriasis alba

Q. 8

An 8 yr old boy presents with boggy swelling and easily pluckable hair, Diagnosis is

 A

Tinea capitis

 B

Alopecia areata

 C

Tuberculorid leprosy

 D

Pityriasis alba

Ans. A

Explanation:

A i.e. Tinea capitis


Q. 9

A 8 year old child has localized non cicatrial alopecia over scalp with itching and scales. The diagnosis is :

 A

Tinea Barbae

 B

Alopecia areata

 C

Tinea Capitis

 D

Lichen planus

Q. 9

A 8 year old child has localized non cicatrial alopecia over scalp with itching and scales. The diagnosis is :

 A

Tinea Barbae

 B

Alopecia areata

 C

Tinea Capitis

 D

Lichen planus

Ans. C

Explanation:

C i.e. Tinea Captis


Q. 10

An eleven year old boy is having tinea capitis on his scalp. The most appropriate line of treatment is: 

 A

Oral griseofulvin therapy

 B

Topical griseofulvin therapy

 C

Shaving of the scalp

 D

Selenium sulphide shampoo

Q. 10

An eleven year old boy is having tinea capitis on his scalp. The most appropriate line of treatment is: 

 A

Oral griseofulvin therapy

 B

Topical griseofulvin therapy

 C

Shaving of the scalp

 D

Selenium sulphide shampoo

Ans. A

Explanation:

A i.e. Oral griseofulvin

Tenia capitis is most commonly caused by Microsporum canis > Trichophyton tonsurans; and never caused by Epidermophyton as it does not involve hair.

It presents with localized non-cicatrial (mostly) alopecia, itching, scaling with or without boggy swelling of scalp & easily pluckable hair.

Tinia capitis is diagnosed by potassium hydroxide (KOH) wet mounts of hair & scale and treated by griseofulvin.

Griseofulvin is used systemically only for dermatophytosis, it is ineffective topically. It is the drug of choice for treatment of tinea requiring systemic therapy. Griseofulvin has no role in treatment of Tinea versicolar & candida.


Q. 11

Dhobi’s itch is:

 A

Tinea corfioris

 B

Tinea cruris

 C

Tinea barbae

 D

Tinea capitis

Q. 11

Dhobi’s itch is:

 A

Tinea corfioris

 B

Tinea cruris

 C

Tinea barbae

 D

Tinea capitis

Ans. B

Explanation:

B. i.e. Tinea cruris


Q. 12

Wood’s lamp light is used in the diagnosis of :

 A

Tinea capitis

 B

Candida albicans

 C

Histoplasma

 D

Cryptococcos

Q. 12

Wood’s lamp light is used in the diagnosis of :

 A

Tinea capitis

 B

Candida albicans

 C

Histoplasma

 D

Cryptococcos

Ans. A

Explanation:

A i.e. Tinea Capitis



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